FAQ Directory: Patient-Centered Medical Home (PCMH)

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4.01.2022 When do I need to add additional information about the measure performance?

Practices should submit an explanation when their performance falls below 80% for the following AR criteria: 
•    AR-AC 1: Timely Clinical Advice by Telephone
•    AR-AC 2:  Patient Visits with Clinician/Team
•    AR-CC 3 (Option): Lab and Imaging Test Tracking (2 rates)
•    AR-QI 1: Depression Screening and Follow-Up (if selected)
Practices should submit an explanation when their performance falls below 30% for the following AR criteria: 
•    AR-CC 4: Referral Tracking. 
If the practice does not submit an explanation, NCQA will contact the practice. 

PCMH 2017